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M54.30
Sciatica, unspecified side
ICD10CM code
Medical Policies and Guidelines for Sciatica, unspecified side
Related policies from health plans
CIGNA
Acupuncture - (CPG024)
CIGNA
Electrodiagnostic Testing (EMG/NCV) - (CPG129)
CIGNA
Intraoperative Monitoring - (0509)
OSCAR
Pain Management: Epidural Steroid Injections, Selective Nerve Root Blocks (SNRB), and Intradiscal Steroid Injections (CG048)
OSCAR
Spinal Orthoses (Back Braces) (CG051)
CIGNA
Peripheral Nerve Destruction for Pain Conditions - (0525)
SUNFLOWER
Facet Joint Interventions (PDF)
SUNFLOWER
Selective Nerve Root Blocks and Transforaminal Epidural Steroid Injections (PDF)
SUNFLOWER
Sacroiliac Joint Interventions for Pain Management (PDF)
Similar Codes
ICD10CM codes
M54.30
- Sciatica, unspecified side
M54.40
- Lumbago with sciatica, unspecified side
M54.32
- Sciatica, left side
M54.31
- Sciatica, right side
M54.41
- Lumbago with sciatica, right side
M54.42
- Lumbago with sciatica, left side
M54.3
- Sciatica
M54.4
- Lumbago with sciatica
M54.50
- Low back pain, unspecified
M54.10
- Radiculopathy, site unspecified
HCPCS codes
L5620
- Addition to lower extremity, test socket, below knee
L5649
- Addition to lower extremity, ischial containment/narrow m-l socket
G8404
- Lower extremity neurological exam performed and documented
L5624
- Addition to lower extremity, test socket, above knee
L2390
- Addition to lower extremity, offset knee joint, each joint
L5680
- Addition to lower extremity, below knee, thigh lacer, nonmolded
L2640
- Addition to lower extremity, pelvic control, band and belt, bilateral
C8913
- Magnetic resonance angiography without contrast, lower extremity
C8912
- Magnetic resonance angiography with contrast, lower extremity
L5661
- Addition to lower extremity, socket insert, multi-durometer symes
CPT4 codes
64786
- Excision of neuroma; sciatic nerve
64784
- Excision of neuroma; major peripheral nerve, except sciatic
64722
- Decompression; unspecified nerve(s) (specify)
27601
- Decompression fasciotomy, leg; posterior compartment(s) only
63200
- Laminectomy, with release of tethered spinal cord, lumbar
64712
- Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve
27602
- Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s)
98942
- Chiropractic manipulative treatment (CMT); spinal, 5 regions
63055
- Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniate
98943
- Chiropractic manipulative treatment (CMT); extraspinal, 1 or more regions